Evidence map›Paper›PMID 30798345›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Preventive effects of seat belts on traumatic brain injury in motor vehicle collisions classified by crash severities and collision directions.

Ji-Min Kim, Sang-Chul Kim, Kang-Hyun Lee, Ho-Jung Kim, Hoon Kim, Seok-Woo Lee, Dae-Seok Na, Jung-Soo Park

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ji-Min KimDepartment of Emergency Medicine, Chungbuk National University Hospital, 776, 1st Sunhwan-ro, Seowon-gu, Cheongju, Chungcheongbuk-do, 28646, South Korea.ORCID http://orcid.org/0000-0003-2138-7120
Sang-Chul KimDepartment of Emergency Medicine, Chungbuk National University Hospital, 776, 1st Sunhwan-ro, Seowon-gu, Cheongju, Chungcheongbuk-do, 28646, South Korea. oarahan@gmail.com.ORCID http://orcid.org/0000-0001-9377-4993
Kang-Hyun LeeDepartment of Emergency Medicine, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, 20 Ilsan-ro, Wonju, Gangwon-do, 26426, South Korea.ORCID http://orcid.org/0000-0001-9664-9186
Ho-Jung KimDepartment of Emergency Medicine, Soonchunhyang University School of Medicine Bucheon Hospital, 170 Jomaru-ro, Wonmi-gu, Bucheon, Gyeonggi-do, 14584, South Korea.ORCID http://orcid.org/0000-0002-9107-291X
Hoon KimDepartment of Emergency Medicine, Chungbuk National University Hospital, 776, 1st Sunhwan-ro, Seowon-gu, Cheongju, Chungcheongbuk-do, 28646, South Korea.ORCID http://orcid.org/0000-0002-2133-0311
Seok-Woo LeeDepartment of Emergency Medicine, Chungbuk National University Hospital, 776, 1st Sunhwan-ro, Seowon-gu, Cheongju, Chungcheongbuk-do, 28646, South Korea.ORCID http://orcid.org/0000-0003-3989-6863
Dae-Seok NaDepartment of Emergency Medicine, Chungbuk National University Hospital, 776, 1st Sunhwan-ro, Seowon-gu, Cheongju, Chungcheongbuk-do, 28646, South Korea.
Jung-Soo ParkDepartment of Emergency Medicine, Chungnam National University School of Medicine, 266, Daehak-ro, Jung-gu, Daejeon, Chungcheongnam-do, 35015, South Korea.

Funding

General Motors Korea PAS-014the Korea Ministry of Land, Infrastructure and Transport, the Korea Agency for Infrastructure Technology Advancement 16PTSI-C054118-08
6 · The paper itself

Abstract

purposeThis study aimed to measure the preventive effect of seat belt on traumatic brain injury (TBI) and to compare the effect according to the crash severities and collision directions.

methodsKorea In-Depth Accident Study (KIDAS) has collected vehicle and demographic data on injured occupants involved in motor vehicle collisions (MVCs) who visited three emergency medical centers for calendar years 2011-2016. Primary and secondary end points were TBI (abbreviated injury score 2+) and in-hospital mortality. Crush extent (CE) was classified into 1-2, 3-4, 5-6, and 7-9 according to the crash severity. We calculated adjusted odds ratios (ORs) of seat belts and CE for study outcomes and developed an interaction model in each collision direction using multivariate logistic regression analysis.

resultsOf the 2,245 occupants who were injured in MVCs, 295 (13.1%) occupants sustained TBI. In univariate analysis, old age, unbelted status, lateral collision, and higher CE were factors associated with TBI in MVCs. Occupants with belted status was less likely to have TBI and in-hospital mortality compared with those with unbelted status [AORs (95% CI) 0.48 (0.37-0.62) and 0.49 (0.30-0.81), respectively]. In interaction analysis, preventive effects of seat belts on TBI from MVCs were retained within CE 5-6 in frontal MVCs and within CE 1-2 in near side lateral MVCs, and those of seat belts on in-hospital mortality were reserved within CE 3-4 in frontal and rollover MVCs.

conclusionsThe preventive effects of seat belts on TBI and in-hospital mortality are preserved within a limited crash severity in each collision direction.

Indexed as

Brain Injuries, TraumaticWounds and InjuriesAccidents, TrafficHumansMotor VehiclesOdds RatioSeat BeltsHospital mortalityMotor vehicle collisionsSeat beltsTrauma severity indicesTraumatic brain injury

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.